Bruises & Barbells: Lifting with a Bleeding Disorder

By Pauline Gth & Peter Zdziarski

Can you lift weights with Glanzmann Thrombasthenia (GT) or a bleeding disorder? The answer is yes—with the proper precautions. Strength training offers significant benefits, including muscle growth, joint support, and overall health, but those with GT, hemophilia, or Von Willebrand disease must approach it differently. Whether you’re new to weightlifting, powerlifting, or resistance training, this guide will help you train safely while managing the risks of bruising, joint pain, and internal bleeding.

Benefits of Strength Training for People with Bleeding Disorders

Lifting weights and resistance training aren’t just about building muscle—they can also help:

• Strengthen joints and ligaments, reducing the risk of injuries.
• Enhance stability and balance, preventing falls and joint bleeds.
• Support overall fitness and endurance, improving daily movement.
• Improve bone density, which is crucial for long-term mobility.

Minimizing injury risk is key for those with Glanzmann Thrombasthenia, where platelets don’t function properly to stop bleeding.

Challenges of Weightlifting with Glanzmann Thrombasthenia & Bleeding Disorders

People with GT or other platelet function disorders may experience:

1. Bruising and Joint Pain

High-impact exercises or heavy barbell movements can put stress on joints, leading to pain, swelling, or even internal bleeding in severe cases. If joint swelling occurs, it may indicate a bleed inside the joint (hemarthrosis).

2. Modifying Exercises to Prevent Injury

Adapting specific movements can reduce joint strain and prevent injury:

• Squats: Reducing depth to avoid knee strain.
• Deadlifts: Using lighter weights or switching to a sumo stance for better control.
• Pressing Movements: Opt for dumbbells or resistance bands instead of heavy barbells.
• Grip-Intensive Exercises: Wearing wrist wraps to protect weak joints.

3. Internal Bleeding & Recovery

Internal bleeds may not be visible at first, and forernal bleeds may not be visible at first for those with swollen joints or unexplained soreness, which could indicate a minor bleed. Managing recovery is just as important as training.

Best Recovery Methods for Weightlifters with a Bleeding Disorder

After workouts, proper recovery minimizes bruising, inflammation, and joint damage:

• Rest – The most effective way to let the body heal.
• Ice therapy – Helps control swelling and inflammation.
• Compression gear – Knee sleeves, wrist wraps, and lifting belts (but choose a belt that doesn’t bruise you!) provide added support.
• Topical joint treatments – Ointments or anti-inflammatory creams can help with minor pain.
• Supplements – Protein Shakes and even Creatine have been shown to aid in the recovery process and help with muscle growth and strength. 

Essential Safety Tips for Strength Training with Glanzmann Thrombasthenia

If you’re lifting weights with GT or another bleeding disorder, follow these key guidelines:

1. Start light and go slow – Avoid heavy lifting without proper conditioning.
2. Listen to your body – Stop if you feel joint pain or notice swelling.
3. Use protective gear – Knee pads, wrist wraps, and lumbar belts can help stabilize joints.
4. Stick to controlled movements – Avoid jerky or explosive motions.
5. Work with a trainer or doctor – Get professional guidance on safe lifting techniques.

Final Thoughts: Can You Build Strength with Glanzmann Thrombasthenia?

Yes! Weightlifting with GT or a bleeding disorder is possible with clever modifications. Strength training can improve mobility, protect joints, and enhance overall health, but proper safety measures are essential. By adjusting movements, wearing protective gear, and prioritizing recovery, you can enjoy the benefits of lifting while minimizing risks.

Are you lifting with Glanzmann Thrombasthenia or a bleeding disorder?

Share your experiences and training tips in the comments—let’s support each other in staying strong and safe!

Have any questions about your next workout? Send us an email to in**@cu****.org.